ArticleObesity surgery2025
A Transverse Transumbilical Incision for Single-Incision Laparoscopic Bariatric Surgery Guided by Anatomical Analysis.
Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSingle-incision laparoscopic surgery (SILS) has been accepted in bariatric surgery due to its cosmetic advantages. However, transumbilical incisions in patients with severe abdominal fat accumulation and musculofascial weakness are associated with higher wound complications. This study introduced a novel transverse umbilical incision through umbilical categorization and anatomical analysis to optimize outcomes.
methodsPatients who underwent transumbilical single-incision laparoscopic bariatric surgeries between January 2022 and March 2023 were enrolled. The umbilical types were categorized based on photographic analysis. The interrectus distance (IRD) and abdominal wall thickness were measured on abdominal CT. The operative characteristics, wound pain, and complications were recorded. The scar condition and patient satisfaction were evaluated.
resultsThe cohort comprised 286 patients with a mean age of 36.0 ± 8.9 years (range 13-66 years) and mean body mass index of 38.9 ± 6.0 kg/m
conclusionThe transumbilical transverse incision method provides surgical safety and satisfactory cosmetic outcomes.
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